Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cruz Cestero, Jose

Cruz Cestero, Jose was paid $11K by Medicaid between Jan 2018 and Apr 2019, across 6 billing codes. Its largest line is 64483, — 57% of everything it billed.

33Billing provider infoCRUZ CESTERO, JOSE
COTO LAUREL, PR 00780
33aNPI1437158466assigned 07/20/2005
28Total paid$11K
24GClaims289
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Puerto Rico

Rank by total paid#10 of 16
Median peer was paid$18K
This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018276$11K
201913$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
64483 57% 52 50 $6K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30% 162 162 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.3% 13 13 $1K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.4% 13 13 $263.25
J1040 Injection, methylprednisolone acetate, 80 mg 1.4% 12 12 $153.68
99070 <1% 37 37 $100.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.